Jennie Hubbard, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

017816-22 Issued in NH

Practice address

574 N Pleasant St Unit 2
Bradford, VT 05033-8713

Phone

(802) 505-5358

NPI assigned

Dec 4, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576713600000",
    "number": "1962049379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "JENNIE HUBBARD",
            "address_2": "269 CEMETERY ROAD",
            "city": "HAVERHILL",
            "state": "NH",
            "postal_code": "037659998",
            "telephone_number": "603-289-6478"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "574 N PLEASANT ST UNIT 2",
            "city": "BRADFORD",
            "state": "VT",
            "postal_code": "050338713",
            "telephone_number": "802-505-5358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBBARD",
        "first_name": "JENNIE",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-04",
        "last_updated": "2019-12-19",
        "certification_date": "2019-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NH",
            "license": "017816-22",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark Steven Harris, MD
• Demetra S Hazatones, LADC, LCMHC
• Abigail Reiber Henderson, CPNP-PC
• Taylor Hollis, BA
• Heather Hood, MA
• Amanda Marie Hudak, LADC
• Bonnie W. Irwin, PSYA. D.
• Lynn Irwin, PSYA. D.
• Aimie Jalbert, LICSW
• Lisa K Jensen, FNP CNM

• Licensed Practical Nurse in Bradford, VT
• Providers in Bradford, VT by specialty
• Licensed Practical Nurse in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.